NBRC CSE exam questions & answers
Weakening and permanent enlargement of the air spaces distal to the terminal bronchioles,
often accompanied by hypertrophy of the goblet cells and mucus glands. Characterized by
dyspnea on exertion with significant hypercapnea - ANSWERSEmphysema/ Chronic Bronchitis
What are 5 terms/phrases that are used to describe a patient with COPD - ANSWERS1. Chronic
Ventilatory Failure
2. Chronic Hypercapnea
3. Increased lung compliance
4. Loss of elastic recoil
5. Chronic CO2 retention
What would the general appearance of someone with COPD/ Chronic bronchiectasis look like -
ANSWERSBarrel chested, Clubbing and cyanosis
What would the respiratory pattern of someone with COPD/ Chronic bronchiectasis be -
ANSWERSDyspnea, accessory muscle use, pursed-lip breathing
What would the breath sounds of someone with COPD/ Chronic bronchiectasis sound like -
ANSWERSDiminished aeration with bilateral expiratory wheeze
During patient assessment what would be a fast easy diagnostic test for someone with COPD/
Chronic bronchiectasis - ANSWERSDiagnostic chest percussion - tympanic or hyper resonant
What would the cough of someone with COPD/ Chronic bronchiectasis consist of -
ANSWERSCongested, Productive of thick sputum
,What would be 3 diagnostic tests used to diagnose COPD/ Chronic bronchiectasis - ANSWERS1.
Chest X-ray
2. ABG
3. PFT
What would the X-ray of someone with COPD/ Chronic bronchiectasis look like -
ANSWERSHyperlucency, hyperinflation, increased A-P diameter, flattened diaphragm
What would be effected in a PFT for a patient with COPD/ Chronic bronchiectasis -
ANSWERSDecreased flows
What SpO2 do you want for a patient with COPD/ Chronic bronchiectasis - ANSWERS88-92%
(Treat with Low O2)
What kind of aerosolized bronchodilators can be used for patients with COPD/ Chronic
bronchiectasis - ANSWERSSABA- Albuterol or Levalbuterol
LABA- Salmeterol, formoterol (Must be given with corticosteroid- budesonide, Fluticasone)
Anticholinergic- Ipratropium, Tiotropium
For an acute exacerbation of ventilatory failure in a patient with COPD/ Chronic bronchiectasis
what should be done to support them - ANSWERSNPPV
A chronic inflammatory, obstructive, non-contagious airway disease with varying levels of
severity, characterized by exacerbations of wheezing and coughing - ANSWERSAsthma
What would the general appearance of someone with an asthma exacerbation look like -
ANSWERSPursed-lip breathing, chest tightness, increased A-P diameter during episode,
Diaphoresis
, What would the breathing pattern of someone with an asthma exacerbation look like -
ANSWERSAccessory muscle usage, Retractions (especially in children)
What would diagnostic Chest percussion sound like in someone with an asthma exacerbation -
ANSWERSHyperresonant/tympanic note
What would breath sounds be in someone with an asthma exacerbation - ANSWERSDiffuse
wheeze, diminished breath sounds, prolonged expiration
What would the vital signs be in someone with an asthma exacerbation - ANSWERSTachycardia,
Tachypnea, pulsus paradoxus during severe episode (Drop in BP when breathing in)
What 3 diagnostic tests would help diagnosis someone with asthma - ANSWERS1. X-ray
2. ABG
3. PFT
What would the x-ray of someone with asthma look like - ANSWERSDuring acute episode
increased A-P diameter, translucent (dark) lung fields, depressed or flattened diaphragms
What would the PFT of someone with asthma look like - ANSWERS1. Spirometry shows reduced
flow rates
2. Post bronchodilator spirometry increases FEV1 at least 12% and 200 ml
3. Bronchial provocation test: FEV1 decreases significantly when provocation agent, such as
methacholine is inhaled
What would the treatment be for someone with an acute asthma exacerbation - ANSWERS-O2
-Aerosol Therapy with SABA and anticholinergic agents (Albuterol or Levalbuterol, Ipratropium
or Tiotropium) consider continuous aerosol Therapy
-Corticosteroids (Oral or IV)
Weakening and permanent enlargement of the air spaces distal to the terminal bronchioles,
often accompanied by hypertrophy of the goblet cells and mucus glands. Characterized by
dyspnea on exertion with significant hypercapnea - ANSWERSEmphysema/ Chronic Bronchitis
What are 5 terms/phrases that are used to describe a patient with COPD - ANSWERS1. Chronic
Ventilatory Failure
2. Chronic Hypercapnea
3. Increased lung compliance
4. Loss of elastic recoil
5. Chronic CO2 retention
What would the general appearance of someone with COPD/ Chronic bronchiectasis look like -
ANSWERSBarrel chested, Clubbing and cyanosis
What would the respiratory pattern of someone with COPD/ Chronic bronchiectasis be -
ANSWERSDyspnea, accessory muscle use, pursed-lip breathing
What would the breath sounds of someone with COPD/ Chronic bronchiectasis sound like -
ANSWERSDiminished aeration with bilateral expiratory wheeze
During patient assessment what would be a fast easy diagnostic test for someone with COPD/
Chronic bronchiectasis - ANSWERSDiagnostic chest percussion - tympanic or hyper resonant
What would the cough of someone with COPD/ Chronic bronchiectasis consist of -
ANSWERSCongested, Productive of thick sputum
,What would be 3 diagnostic tests used to diagnose COPD/ Chronic bronchiectasis - ANSWERS1.
Chest X-ray
2. ABG
3. PFT
What would the X-ray of someone with COPD/ Chronic bronchiectasis look like -
ANSWERSHyperlucency, hyperinflation, increased A-P diameter, flattened diaphragm
What would be effected in a PFT for a patient with COPD/ Chronic bronchiectasis -
ANSWERSDecreased flows
What SpO2 do you want for a patient with COPD/ Chronic bronchiectasis - ANSWERS88-92%
(Treat with Low O2)
What kind of aerosolized bronchodilators can be used for patients with COPD/ Chronic
bronchiectasis - ANSWERSSABA- Albuterol or Levalbuterol
LABA- Salmeterol, formoterol (Must be given with corticosteroid- budesonide, Fluticasone)
Anticholinergic- Ipratropium, Tiotropium
For an acute exacerbation of ventilatory failure in a patient with COPD/ Chronic bronchiectasis
what should be done to support them - ANSWERSNPPV
A chronic inflammatory, obstructive, non-contagious airway disease with varying levels of
severity, characterized by exacerbations of wheezing and coughing - ANSWERSAsthma
What would the general appearance of someone with an asthma exacerbation look like -
ANSWERSPursed-lip breathing, chest tightness, increased A-P diameter during episode,
Diaphoresis
, What would the breathing pattern of someone with an asthma exacerbation look like -
ANSWERSAccessory muscle usage, Retractions (especially in children)
What would diagnostic Chest percussion sound like in someone with an asthma exacerbation -
ANSWERSHyperresonant/tympanic note
What would breath sounds be in someone with an asthma exacerbation - ANSWERSDiffuse
wheeze, diminished breath sounds, prolonged expiration
What would the vital signs be in someone with an asthma exacerbation - ANSWERSTachycardia,
Tachypnea, pulsus paradoxus during severe episode (Drop in BP when breathing in)
What 3 diagnostic tests would help diagnosis someone with asthma - ANSWERS1. X-ray
2. ABG
3. PFT
What would the x-ray of someone with asthma look like - ANSWERSDuring acute episode
increased A-P diameter, translucent (dark) lung fields, depressed or flattened diaphragms
What would the PFT of someone with asthma look like - ANSWERS1. Spirometry shows reduced
flow rates
2. Post bronchodilator spirometry increases FEV1 at least 12% and 200 ml
3. Bronchial provocation test: FEV1 decreases significantly when provocation agent, such as
methacholine is inhaled
What would the treatment be for someone with an acute asthma exacerbation - ANSWERS-O2
-Aerosol Therapy with SABA and anticholinergic agents (Albuterol or Levalbuterol, Ipratropium
or Tiotropium) consider continuous aerosol Therapy
-Corticosteroids (Oral or IV)
